Individual
DR. DIANE J. MADLON-KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 EAST 28TH ST, MINNEAPOLIS, MN 55407
(612) 333-0770
(612) 333-1986
Mailing address
2020 EAST 28TH ST, MINNEAPOLIS, MN 55407-1453
(612) 333-0770
(612) 333-1986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31314
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-21285
MEDICA CHOICE
—
05
—
0596247
—
IA
01
—
1018848
PREFERRED ONE
—
01
—
105929
UCARE
—
01
—
2380613
ARAZ
—
05
—
31360100
—
WI
01
—
506K0MA
BLUECROSS BLUESHIELD
MN
01
—
A054
TRIWEST/TRICARE
—
01
—
HP10946
HEALTH PARTNERS
—
Enumeration date
10/20/2006
Last updated
07/16/2010
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